EasyMed TensCare Elise User manual

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Distributed by:
In Australia:
In New Zealand:
JA Davey Pty Ltd
626 Lorimer Street
Port Melbourne, VIC 3207
Tel: [phone]
www.jadavey.com.au
www.tenscare.com.au
JA Davey Ltd
C/-Healthcare Logistics
58 Richard Pearse Drive,
Mangere, Auckland 2022
Tel: [phone]
www.jadavey.co.nz
Manufactured exclusively for
TensCare Ltd by:
EasyMed Instruments Co., Ltd.
5/F – 6/F Block A, Gupo Gongmao Building,
Daliang, 528300 Sunde, Guandong, China
TensCare Ltd, PainAway House,
9 Blenheim Road, Longmead Business Park,
Epsom, Surrey KT19 9BE, UK
Tel: [phone]
www.tenscare.co.uk [e-mail]
Pub Ref.: I-EL-AU Rev 2.2 5/16
Pelvic Floor Exerciser
INSTRUCTIONS FOR USE
READ CAREFULLY BEFORE STARTING USE

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Introduction
Intended Use
“Elise” Features
Pelvic Floor Muscle
Pelvic Floor Exercises
Types of Incontinence
Advantages of the “Elise”
How “Elise” Works
Contraindications, Warnings & Cautions
Continence Programs
Controls
Screen Information
Usage Memory
Leads Alarm
Contents
Setting up and Using the “Elise”
Anal Probe
Cleaning
Troubleshooting
Charging the Battery
General Specifications
EMC Precautions
Disposal
Accessories
Warranty
Pelvic FloorExerciser
CONTENTS
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INTRODUCTION
Bladder leakage and incontinence are common problems for both
women and men, affecting their long term health. Exercising the
pelvic floor muscles is recognised as the way of preventing and
treating symptoms of incontinence and pelvic floor weakness.
•4 preset clinically tested programs
•The “Elise” programs treat STRESS, URGE and MIXED
Incontinence using gentle electrical stimulation
•The “Elise” TONE program firms the pelvic floor and may
improve sexual pleasure
•The “Elise” is easy to use with full instructions
•Elegant slim design
•One touch memory
•Rechargeable Li-ion Battery
INTENDED USE
1. “Elise” FEATURES
•Comfortable Stimulation
The strength of the stimulation increases gradually, making the
feeling very comfortable and in your control.
•Easy Start - One Touch Memory
The “Elise” has intelligent memory that enables the unit to
remember the last program and the strength setting used. At the
press of only one button the strength level returns to 50% of the last
level used.
•Safety Duration Override
A safety duration override feature has been incorporated into the
“Elise” to ensure that the pelvic floor muscle is not overworked. This
is set at twenty minutes after which time the unit will switch off. It is
possible to alter the time in order to customise the unit to your
needs.
•Usage Memory
The “Elise” has a usage memory which shows the length of time
that the unit has been in use and the average level of strength
utilised.
•Rechargeable Li-ion battery
The “Elise” is powered by a slimline 3.7V Li-ion rechargeable
battery. The rechargeable battery, charging cradle and power
adaptor are included in the kit.
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Warning: Not suitable for use in children without
medical supervision.
This device has been designed to be a medical device
used in the home healthcare environment to treat urinary
and/or faecal incontinence and may also treat erectile
dysfunction using gentle electrical stimulation (i.e. EMS
– electrical muscle stimulation & TENS - transcutaneous
electrical nerve stimulation). Do not use this device for
any purpose other than this intended use.

•in women also
- provide support for the baby during pregnancy and
- assist in the birthing process
Pelvic floor muscles are also important for sexual function in both
men and women:
•in men, it is important for erectile function and ejaculation.
•in women, voluntary contractions (squeezing) of the pelvic floor
contribute to sexual sensation and arousal.
However pelvic floor muscles may become weak. If your pelvic floor
muscles become stretched or weakened, your pelvic organs may no
longer be fully supported and you may lose control of your bladder
or bowel movements.
For some women, the pelvic floor muscles can also become too
tight. This condition is less common, but it can lead to pelvic pain
and make it difficult for you to empty your bladder or bowel
completely.
Common signs that can indicate a pelvic floor problem include:
•accidentally leaking urine when you exercise, laugh, cough or
sneeze
•needing to get to the toilet in a hurry or not making it there in time
•constantly needing to go to the toilet
•finding it difficult to empty the bladder or bowel
•accidentally losing control of the bladder or bowel
•accidentally passing wind
•pain in your pelvic area
•painful sex, or
•a prolapse
-in women, this may be felt as a bulge in the vagina or a
feeling of heaviness, discomfort, pulling, dragging or dropping. This
occurs when one or more of the pelvic organs (bladder, bowel or
uterus)
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2. PELVIC FLOOR MUSCLE
The “FLOOR” of your pelvis is made up of layers of muscles that
support the bowel, bladder, urethra and uterus. These muscles are
like a hammock, or the bottom and sides of a bowl, in shape. They
run from pubic bone in the front to the end of the spinal column (or
tail bone) in the back.
The pelvic floor muscles:
•assist in supporting the abdominal and pelvic organs
•work with the abdominal and back muscles to stabilise and
support the spine

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become displaced and sag down into the vagina. It is very common
in Australia and New Zealand and occurs in about 40%of women.
Symptoms tend to become exacerbated towards the end of each
day and if left untreated, they will generally worsen over time.
-in men, this may be felt as a bulge in the rectum or a
feeling of needing to use the bowels but not actually needing to go.
Like other muscles in your body, the pelvic floor can be
strengthened with regular exercise. Building pelvic floor strength
enables the muscles to better support your pelvic organs, improves
your bladder and bowel control and can stop accidental urine,
faeces or wind leakage.
It can also reduce your risk of prolapse, improve your recovery from
childbirth and gynaecological surgery, and increase your sexual
pleasure. A continence therapist can help you learn how to exercise
your pelvic floor.
Doing just a few pelvic floor exercises every day will help to treat
bladder weakness or prolapse symptoms, and will help to prevent
problems later on.
3. HOW TO PERFORM PELVIC FLOOR EXERCISES
Once the “Elise” has helped you develop control of the pelvic floor
muscles and built muscle strength, it is recommended to make
Pelvic Floor Exercises (sometimes called Kegel Exercises) part of
your daily life. Kegel exercises can be done at any time and are
very discreet so you can do them almost anywhere; lying in bed,
sitting at the computer or waiting for a bus. It is a good idea to try
and develop a routine which you can repeat each day.
First of all, it is important to find your pelvic floor muscles and feel
them working. So here are a couple of techniques which might help:
1) Try inserting one or two clean fingers into your vagina and then
squeezing the surrounding muscles, lifting up and towards your belly
button –a squeezing and lifting sensation.
2) Another way is to try and stop the flow of urine during urination. If
you are successful then you know you are exercising the correct
muscles.
Note: These techniques are just to help you confirm that you are
using the correct muscles. It is important to have an empty bladder
before starting the exercises.
•Try to remember the lifting and squeezing sensation and when
you are ready try to recreate it just using the muscles you
identified earlier; don't tense the muscles in your legs, stomach
or buttocks and remember to breathe normally.
•Aim to hold each squeeze or 'contraction' for between three and
five seconds, then release and relax. You should feel a ‘letting
go’ of the muscles. Rest for five seconds and then repeat. Try
and do about ten squeezes in this way. Repeat the whole
process three or four times a day.
•Over a period of time try to increase the muscle contractions up
to about ten seconds, but remember to rest in between each
squeeze for longer periods.
Note: It is important to aim for quality contractions, not quantity, so a
few good hard squeezes are better than a series of weak ones.
Do not worry if you find holding for 3 seconds difficult at first. Just
squeeze for as long as you feel comfortable. The more exercise you
do, the stronger the muscles will become and the longer you will be
able to squeeze.

4. TYPES OFINCONTINENCE
There are three types of incontinence: Stress, Urge, andMixed.
•Stress Incontinence
Describes the involuntary leakage of urine when a person coughs,
sneezes, strains or makes sudden movements. It is particularly
common in women and occurs when the bladder neck and the
other mechanisms that act to hold urine in the bladder are not
working properly. This type of incontinence can be influenced by
pregnancy, childbirth and menopause.
•Urge Incontinence
Describes an overactive bladder. A person may experience a
strong and sudden urge to go to the toilet but are not always able
to hold on, or have to go so frequently that it becomes
inconvenient. It can be caused by diabetes or a urinary tract
infection, or by a nerve-affecting disorder like stroke, Alzheimer's
disease, or multiple sclerosis. In some cases, it can be an early
sign of bladder cancer.
•Mixed Incontinence
Is a combination of both Stress and Urge Incontinence
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6. HOW "Elise” WORKS
Electrical stimulation consists of temporarily placing electrodes in
the vagina/anus. Small pulses of electricity generate muscle
contractions and can help women identify how to do the
contractions themselves.
Research has shown that 30%of women who experience
incontinence are unable to voluntarily contract the pelvic floor
muscle and require additional assistance to aid their pelvic floor
training.
The Pelvic Floor Exercisers can play a vital role in educating women
about their pelvic floor and the sensation they should feel when
doing pelvic floor exercises. For best results, it is recommended to
use Pelvic Floor Exerciser in conjunction with Kegel Exercises.
The “Elise”, through a vaginal probe or pads, sends a gentle
electrical stimulation to your pelvic floor muscles using clinically
recognised programs. The "Elise“ sends small pulses of electricity
to generate muscle contractions and can help you identify how to do
the contractions on your own. The “Elise” is the result of
considerable research and consultation with continence advisors.
It is also possible to treat urinary and faecal incontinence in both
males and females using an anal probe. See section 15 for more
details.
Please note that we recommend the Liberty Vaginal Probe (as
supplied with the unit) and accessories listed on page 39,as the
unit has been tested with these.
In some instances, where a probe is not appropriate - particularly
with Urge Incontinence - it is possible to treat incontinence by using
electrode pads placed on the body. See page 30 for more details.
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If in doubt contact your healthcare professional before using
the“Elise”.
5. THE ADVANTAGES OF “Elise”
•It can reduce leakage - not simply containit
•It is drug-free
•It is easy touse
•It isdiscreet
•It may help to avoid surgery
•It may improve sexualpleasure

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In this manual:
AWarning is used when failure to follow the instructions may result
in serious injury or death.
ACaution is used when failure to follow the instructions may result in
a minor or moderate injury, or damage to the device or other
property.
7. CONTRAINDICATIONS, CAUTIONS AND WARNINGS
CONTRAINDICATIONS:
Do NOT use if you are or may be pregnant; or in the first 6-8 weeks
after childbirth. It is not known whether electrical stimulation
may affect foetal development.
Do NOT use if you have a pacemaker (or you have a heart rhythm
problem) or with any electronic medical devices. Using this unit with
electronic medical devices may cause erroneous operation of the
device. Stimulation in the direct vicinity of an implanted device may
affect some models. Stimulation on the front of the neck can
affect your heart rate. Very strong stimulation across the chest may
cause an extra heartbeat.
WARNINGS:
Do NOT use if you have symptoms of active urinary tract
infection, vaginal infections, or localized lesions. Introducing
the probe may irritate sensitive tissue.
Do NOT use if you have poor sensation in the pelvic region.
You may not be able to control the intensity of stimulation
safely.
Do NOT use if you have active or suspected vaginal,
pelvic or prostate cancer; or have undiagnosed pain in the
area being treated with a history of cancer. In vitro
experiments have shown that electricity can promote cell
growth.
Do NOT use if you are unable to properly insert
the vaginal probe. If you have a severe prolapse, or
any discomfort occurs when inserting the probe, consult
your medical advisor before use.
The device should not be used while walking, driving,
operating machinery, or any other activity in which
involuntary muscle contraction may put you at risk of
injury.
Incontinence can have many causes. You should try to
identify the type of incontinence and the cause before
starting to use this device.
CAUTIONS:
Caution: Caution should be used if you have suspected or
diagnosed epilepsy as electrical stimulation may affect seizure
threshold.
Caution: Caution should be used if you have a bleeding
disorder as stimulation increases blood flow to the stimulated
region.
Caution: Use caution following recent surgical procedures.
Stimulation may disrupt the healing process.
Caution: It is important that the vaginal/anal probe is cleaned
after each use. Ineffective cleaning may lead to irritation or
infection.

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Caution: If tissue irritation occurs, discontinue treatment
immediately. Ask your healthcare professional for advice before
continuing further treatment to prevent injury.
Caution: Never insert or remove the vaginal/anal probe unless the
control unit is powered OFF as insertion or removal when stimulation
is active may cause discomfort.
Caution: Do not use a silicone based lubricant on the stimulation
contacts of the probe as it may decrease the effectiveness of the
muscle stimulation.
Caution: Strong magnetic or electromagnetic fields (electrosurgery/
microwave cookers/ mobile phones) may affect the correct operation
of this unit - see section 20.If it appears to behave unusually, move
it away from these devices.
Caution: The stainless steel in the probe electrodes contains some
Nickel. This could cause a reaction if you have a Nickel allergy. The
Liberty Gold Vaginal Probe (X-VPG) can be used as an alternative
for those with particular reactions to base metals.
Caution: Do not use this device with vaginal/anal probe or self-
adhesive electrodes other than those recommended by the
manufacturer in section 22. Electrodes with smaller surface area
may cause tissue irritation.
Caution: This device may interfere with patient monitoring
equipment with body-worn electrode pads.
Caution: Simultaneous connection to high frequency surgical
equipment may result in burns and damage to the stimulator.
Caution: Do not permit use by children unable to understand the
instructions or persons with cognitive disabilities, i.e.: Alzheimer’s
disease or dementia.
Caution: Not suitable for children under 5 years of age. Long cord -
risk of strangulation in infants.
TO KEEP YOUR DEVICE IN GOOD WORKING ORDER,
OBSERVE THE FOLLOWING ADDITIONAL CAUTIONS:
Caution: Do not immerse your unit or vaginal/anal probe in water
or place it close to excessive heat such as a fireplace or radiant
heater or sources of high humidity such as a nebulizer or kettle as
this may cause it to cease to operate correctly.
Caution: Do not attempt to open up or modify the unit. This
may affect the safe operation of the unit and will invalidate the
warranty.
Caution: Keep the device away from sunlight, as long-term
exposure to sunlight may affect the rubber causing it to become
less elastic and crack.
Caution: Keep the device away from lint and dust, as long-term
exposure to lint or dust may affect the sockets or cause the battery
connector to develop bad contact.
Note: You may safely use the stimulator during menstruation,
although it may be a little lesscomfortable.

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8. CONTINENCE PROGRAMS
The “Elise” has four preset programs. One for each type of
incontinence and a fourth for toning of the pelvic floor muscles.
STRESSINCONTINENCE:
Shown on the screen as:“STRES”
The STRESS incontinence
program strengthens the muscles
of the pelvic floor using gentle
stimulation. Once muscular
strength has been improved these
muscles are better able to resist
urinary leakage caused by
external pressure being applied to
the bladder such as with a cough,
sneeze or physical exertion.
URGEINCONTINENCE:
Shown on the screen as:“URGE”
The URGE incontinence program
reduces the involuntary
contractions of the bladder
(detrusor) muscle. This prevents
the unwanted and unexpected
emptying of the bladder.
This program is designed to
soothe your bladder muscles
rather than exercise your pelvic
floor. It uses a gentler, low
frequency setting which promotes
release of endorphins.
Successful treatment will require stimulation once a day and
improvements can be seen in as little as two weeks. Once the full
strength of the muscles has returned it is recommended to
continue using your pelvic floor exerciser once per month on an “as
and when required basis”.
The sensation is of a longer and softer pulling in of the pelvic floor
than in the Stress program.
Note: There is no need to have a contraction. The strength should
be comfortable, but always remain noticeable. You may need to
increase it over the course of the treatment.
The stimulation causes the muscles to contract and work
thereby building their strength.
Successful treatment requires stimulation once a day for one to
three months. Improvement starts becoming apparent after
about four weeks. It helps to keep a record of leakage problems
so that you have an objective measure of your progress.
The sensation is like a strong drawing in of the muscles of the
vagina, pulling up of the pelvic floor. Your natural reaction will
be to pull your muscles in and up, thereby exercising and
strengthening them.
Note: For STRESS program the muscle MUST contract in order
to give a benefit. Increase the strength as high as is comfortable
and then take it down one step.

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TONE:
Shown on the screen as:“TONE”
Regular use of this program,
about twice a week, will ensure
that your muscles remain toned.
The TONE program may also be
used as an alternative treatment
for STRESS.
MIXED INCONTINENCE:
Shown on the screen as: “MIXED”
The sensation when using the Tone program is a mixture of a
strong drawing in of the muscles and then releasing. The program
repeats the sensation.
The sensation, as you might expect, is a combination of both the
Stress and Urge programs. The sensation is not as strong as the
Stress program and has a slight throbbing sensation.
GENERAL POINTS
i) The length of each session for muscle strengthening will also
depend on your ability to contract and your resistance to fatigue.
Be careful not to overuse early on, as the resulting aches may not
be felt until the next day.As long as you can feel the contraction, it
is working. You can build up slowly over a number of days. With
the first two sessions the muscles may ache the next day –the
same reaction you would get with any unaccustomed exercise.
With the pelvic floor, this gives a ‘cramping’ feeling. If this happens,
stop using your “Elise” until the aching goes away, then start again
using a lower strength and a shorter treatment time. As the pelvic
floor begins to improve, it will be possible to maintain the
stimulation for longer.
ii) All programs cycle between “work” and “rest” to allow your
muscles to recover in between contractions. During the “rest”
period, the strength display flashes 00.0 mA.
iii) When you change the strength setting, this cycle stays on
“work” until you stop pressing the buttons for more than 5 seconds.
iv) The usages mentioned for each program are guidelines only,
and may be altered depending on your personal needs.
v) You may feel the stimulation through the probe more strongly on
one side than the other.
vi) Once the pelvic floor has been strengthened using the “Elise”,
continue to exercise the pelvic floor muscles. The pelvic floor
needs to be worked and reacts well to such exercises
Note: For TONE program the muscle MUST contract in order to
give a benefit. Increase the strength as high as is comfortable and
then take it down one step. Note: Strongpelvicfloormusclesmayincreasesexualpleasure.
This program is recommended
for those who suffer from both
Stress and Urge incontinence or
are not sure which form of
incontinence is the problem. The
stimulation frequency is midway
between Stress and Urge.

9. CONTROLS ON/ OFF Button
To switch unit ON:Press and hold down
for 3-5 seconds.
When the unit is switched ON an audible
“Beep” will be heard.
One Touch Memory Start
When switched on the unit will automatically start in the program which
was being used when it was switched off.
The strength returns to about 50%of the level that was being used
when the unit was switched off.
During start up to stop the increase in strength at any time, press any
key once. To switch unit off: Press and hold down
the button for 3-5 seconds and the unit
will switch off.
When the unit switches OFF an audible
double “Beep” will be heard.
Strength UP Button
To increase strength: Press and hold
down until required strength is achieved.
Press and release to increase in soft and
gentle 00.5mA steps.
ON/OFF
Strength
DOWN
Strength
UP
Program
Timer
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Note: Always check unit is OFF before removing probe orpads.
The unit will remain in the “Work” part of the cycle for 5 seconds while the
strength is being adjusted.

Strength DOWN Button
To decrease strength: Hold down button
and strength will decrease steadily in
00.5mA steps.
Program Button
The “Elise” has specifically selected
programs. When you FIRST switch on the
unit automatically goes to program
STRESS.
Next time it is switched on it will default to
the program last used.
Each time the “P” button is pressed and
released the program changes. The
screen will show the program selected.
Time Selector button
Each time you switch on the “Elise” the
length of time of your program will
automatically revert to 20 minutes.
During use the unit counts down the
minutes which are shown on the screen.
On reaching zero the unit will switch off.
By repeatedly pressing and releasing the
Timer button you can manually override
and select 10,30,45,60,90 minutes or
continuous time.
The length of time that you have selected
will be shown on the screen. The minutes
will start to count down once you start the
program.
If you hold down this key for 3 seconds, you
can PAUSE the timer, allowing you to
interrupt the treatment session, and
resume it later. Return to main screen by
pressing any other key.
10. SCREEN INFORMATION
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Time
remaining(mins)
Program
Strength
(mA)
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11. USAGE MEMORY
The “Elise” has a usage memory which remembers the length of
time and average strength that has been used.
To activate hold down the Time Selector and strength UP buttons
together for 3 seconds. The screen will show the time in hours (to
the nearest hour) and strength in mA.
Hold down Time Selector and strength DOWN button together for 3
seconds to reset the memory to zero.
12. LEADS ALARM
The “Elise” monitors the connection and the contact between you
and probe, or pads.
If either of these goes outside of a standard range while the strength
is above 20.0 mA, the unit will flash “LEADS”, beep three times,
and return strength to zero.
Check the lead and if necessary, lubricate the probe.
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Time
inhours
Average
Strength
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13. CONTENTS
•Elise - Pelvic Floor Exerciser
•Liberty-Vaginal probe (single person use)
•Lead
•Rechargeable Li-ionBL-4B Battery
•Chargercradle
•Mainsadaptor
•Instructionbooklet
•Storagepouch
14. SETTING UP AND USING THE“Elise”
14.1 INSTALLATION OFBATTERIES
Setting up and using the “Elise” is verysimple
Step 1: Insert battery intounit.
Remove Battery Cover
Press down the centre of the battery cover and slide downwards
Insert battery
Line up the 3 connectorson the battery with the contact in the unit.
Slide in and press down. Replace Battery Cover.
Step 2: Plug the connecting lead wire into the“Elise”.
Step 3: Connect the other end of the connecting lead wire to the
probe.
Step 4:To test that the battery has been fitted correctly and that
the unit is working press and hold the “ON” button for at least three
seconds. The display should appear and an audible “Beep” will be
heard. . Press and hold the “OFF” button to turn off the unit.
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Step 5: To test the unit is working –hold the probe in your hand –
hold the probe tightly, covering as much of the metal plates on the
probe with your skin as possible. Increase the intensity by pressing
the + button until you can feel the stimulation.
Note: Once you have passed 20.0mA, if you were to let go of the
probe and break the contact between the probe and your skin, an
alarm will sound and ‘leads’ will appear on the screen. This is a safety
feature which doesn’t allow current to flow through the probe when
there is poor contact between your skin and the probe.
14.2 PREPARING FOR THE TRAINING SESSION
•Before using “Elise” Pelvic Floor Exerciser you will need to visit the
toilet.
•Lubricate the metal electrode surfaces and probe tip with a
proprietary jelly, such as TensCare Go Gel or waterbased lubricant, or
water.
•Choose a comfortable position, such as leaning back or lying down
on your bed with your knees raised.
•After wires are securely connected, insert the probe into the vagina,
in the same way as a tampon, with the two silver plates side to side:
one plate on left and the other on the right, until only the flange at the
end is visible. The probe will naturally position itself with the widest
part of the flange vertically.The metal parts conduct the electrical
pulse and should be in contact with the main part of the muscle at all
times.
Caution: Ensure the “Elise” is switched OFF before
inserting the probe.
Caution: Do not use a silicone based lubricant on the
stimulation contacts as it may decrease the effectiveness
of the Elise’s muscle stimulation.
FLANGE
14.3 TRAINING SESSION
1) Press and hold the “ON” button on the control unit for at least 3
seconds to switch the control unit on.
When switched on for the first time, the “Elise” will automatically
select the ‘STRES’ program. After that it will automatically select
the program you were using the last time it was switched off.
2) You can select from the four pre-set programs. Details in section
8 will help you identify the best program to suit you.
3) With the required program selected, you can adjust the intensity
of the muscle stimulation until you reach a comfortable level. Once
you have reached a comfortable level, 5 seconds after you stop
pressing the button, the intermittent work/rest phase will start. The
machine will take itself to 00.0mA for a rest period and then take
itself back up to the level of intensity you chose, to work the muscle.
This cycle will continue for the 20 minute program.
Note: The strength required varies widely between users - some will
use the “Elise” at full power - 99.5. The "Elise" strength will go up at
0.5 increments.
NB:The flange should not be inserted into the vagina and should
remain outside of the vagina at all times.
Caution: The Liberty vaginal probe that is supplied with the
“Elise” is intended strictly for single person use. Do not share
your probe with anyone else as cross-infection may occur.

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Initially the sensation through the probe may be limited but will
improve during treatment. Take care not to use too much strength
and thereby over stimulate the muscles until normal sensation is
restored. The sensation may not be even as it may vary depending
on the sensitivity of the nerves.
The LCD display shows the strength of intensity used. The aim is
to increase this over a number of days. But remember there is no
hurry, so only increase the strength of the stimulation as and when
you are comfortable and ready to progress.
The “Elise” causes a sensation which feels like a strong drawing in
of the vagina and pulling up of the pelvic floor. The natural
reaction will be to pull in and up with the muscles. This exercises
and strengthens them.
For best results in the STRESS and TONE programs try to contract
the pelvic floor muscles along with the “Elise”, and to sustain the
contraction into the rest interval. If possible, link the contraction to
your breathing in order to get into a gentle rhythm.
The length of each session is automatically set to 20 minutes. The
length of each session for muscle strengthening will also depend
on your ability to contract and your resistance to fatigue. Be
careful not to overuse early on, as the resulting aches may not be
felt until the next day.
Optional skin surface electrode placement for Urge
An alternative method to a vaginal probe is to stimulate areas of the
skin that are close to nerves that go to the bladder and urethra.
These come from the parts of the spinal cord segment called S2-S3.
The electrodes are placed on the skin between the anus and the
genitals, or at the very bottom of the spine near your coccyx or “tail”.
See electrode placement pictures.
The stimulation should be strong enough to make your anus
contract slightly.
14.4 AFTER YOUR TRAINING SESSION
When the timer reaches zero, your session is complete and the unit
turns off.
1)Check that the control unit is OFF. If it is not, hold down the OFF
button to switch off then remove the probe from your vagina by
holding the positioning end rim and gently pulling outwards. Be
careful not to pull the wire as this may damage it.
2)Wash and thoroughly dry the probe as per section 16 and return it
to the storage pouch.
15. ANAL PROBE
An anal probe (X-PR13) can be purchased as an accessory. This
probe can be used for urinary and faecal incontinence in both
males and females.
Caution: If you experience cramping, switch the unit off until
the symptoms go away then continue the session with the
intensity set at a lower level.
Note: If the sensation becomes uncomfortable, reduce the
intensity.

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•Before using “Elise” Pelvic Floor Exerciser you will need to visit the
toilet.
•Connect the leadwires the same way as you would for Vaginal
Probe.
•Lubricate the metal electrode surfaces and probe tip with a
proprietary jelly, such as TensCare Go Gel or waterbased lubricant,
or water.
•Choose a comfortable position, such as leaning back or lying down
on your bed with your knees raised.
•After wires are securely connected, insert the probe into anus whilst
‘bearing down’ (as in the action of passing stool) to a comfortable limit
until the base of the flange on the probe touches the anus. The metal
parts conduct the electrical pulse and should be in contact with the
main part of the muscle at all times. The tissues close to the entrance
are more sensitive, so you should avoid stimulating them. It is
recommended that the probe is inserted past the sphincter muscles of
the anus, unless directed otherwise by a healthcare professional.
Note: Anal probes with long electrodes (the metal part) that run up
and down the length of the attachment should always be inserted
with the metal parts facing hip-to-hip. Anal probes with circular
electrodes (the metal part) should be inserted simply to the desired
depth. Sometimes the wearing of tight fitting undergarments or a tight
pair of jeans will help to keep the probe in place and maintain correct
contact during the program.
For Faecal incontinence the aim is to stimulate the external sphincter
and/or pubo-rectal muscle, so ring electrodes should be placed so
that the external ring is just inside the sphincter.
For Urinary Stress incontinence the aim is to stimulate the levator
muscles and the probe should be inserted deeper.
Conditions that may be treated
These anal probes may be used to treat Urinary and Faecal
Incontinence in a similar way to the vaginal probe. Because the
stimulation cannot be restricted to one muscle group, and the
mucosal tissue has different electrical characteristics, anal stimulation
is less comfortable than vaginal.
You should consult your healthcare professional before starting
treatment.
Faecal Incontinence
Faecal incontinence can be the result of weakened or poorly
functioning anal sphincter muscles or damage to the nerves
controlling them. The purpose is to re-educate the anal sphincter and
other muscles of the pelvic floor to contract. The treatments aim to
progress towards graduated active exercises, in order to improve
pelvic floor muscle strength and endurance and to regain function.
You may benefit from the “Elise” if you either have no active anal
sphincter contraction, or a weak or poorly sustained contraction. Use
the STRESS or TONE programs. Intensity should be as strong as
possible without being painful. When possible, try to contract the
muscles at the same time as the “Elise”.
Post Prostatectomy Urinary Incontinence
Electrical stimulation has been found to help urinary incontinence in
men after radical prostatectomy in some trials. Use the same
programs as for vaginal stimulation. Increase intensity in STRESS,
MIXED, or TONE programs to the highest tolerable.
15.1 HOW TO INSERT ANAL PROBE
Caution: Ensure the “Elise” is switched OFF before inserting
the probe.

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16. CLEANING
It is important that the probe is cleaned after each use. Clean with
either an alcohol-free antibacterial wipe or by wiping with warm
soapy water. Rinse and dry thoroughly and return the unit to the
storage pouch. Do not immerse the probe in aliquid
Clean the case of the unit and lead wires at least once a week using
the same method.
•Do not immerse your “Elise” machine in water.
•Do not use any other cleaning solution
17. TROUBLESHOOTING
If the unit does not work:
•No display –charge the battery, please see section 18 for more
details
•No sensation and LEADS alarm showing.
The “Elise” has a safety feature which will not allow the intensity to
pass 20.0mA if the machine detects a connection error. If a
connection error is detected the intensity will return to 00.0mA and
the screen will flash ‘LEADS’. This safety feature will prevent the
machine from giving any uncomfortable stimulation should the
contact break between the machine and your skin. This will also
prevent anyone from increasing the intensity to a high level without
firm contact between the machine and the skin.
A connection error can occur if:
1. A break has developed within one of the two lead wires
If this happens, you can try to test the unit by holding the probe
in your hand:
i) Dampen your hand with water and a little table salt. Squeeze the
probe firmly and make sure your skin is coving the metal parts of the.
probe and carefully increase strength until you can feel something.
Most people will start to feel the stimulation in their hand at around
25.0mA.
ii) If the ‘LEADS’ alarm shows and the unit will not allow you to pass
20.0mA. The lead wires need to be replaced. Note: The lead wires
will need replacing every 3-4 months as they can ware with usage.
If you have tried the test above and DO have sensation when the
probe is in your hand, then it may be that:
2. The skin is dry, meaning poor conductivity between the metal
plates on the probe and your skin.
If this happens, you can try the below solutions:
–Using a water–based lubricant such as TensCare Go Gel, which
will improve conduction.
–Crossing your legs and squeezing to increase pressure on the
probe, which should improve the connection. If this enables you
to use the unit, you should find that in a few weeks of stimulation
the contact improves. If it does not, this unit may not be suitable
for you. You may need to contact your healthcare professional to
discuss other suitable options.
–The probe supplied with the unit has a 28mm diameter. An
optional 32mm probe, part no. X-VPM, is available.
•No sensation and no LEADS alarm
–Please make sure you are increasing the intensity high
enough. Most people will start to feel the stimulation in their
hand at around 25.0mA and with the probe inserted you will need
to increase the intensity higher to around 40.0mA -60.0mA, Max
power is 99.5mA. Everyone is different so just keep increasing
the intensity until you can feel. The intensity increases in very
small steps of 0.5mA.
–You may have reduced sensitivity due to previously damaged or
desensitised pudendal nerves (this can happen in childbirth or
some surgical procedures). Please consult your healthcare
professional.

Disposal: Always dispose of batteries responsibly according to
local government guidelines. Do not throw batteries onto a fire.
Risk of explosion.
If necessary, it is recommended to obtain a replacement battery
from your local distributor.
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NB:Remove the battery from your Elise if the unit is unlikely to be
used for a longperiod.
WARNING:
This product is equipped with a Lithium-ion battery. Failure to follow
these instructions could cause the lithium-ion battery to leak acid,
become hot, explode or ignite and cause injury and /or damage:
Do NOT pierce, open, disassemble it, or use it in a humid
and/or corrosive environment.
Do NOT expose to temperatures over 60°C(140F)
Do NOT put, store or leave it near sources of heat, in direct
strong sunlight, in a high temperature location, in a
pressurized container or in a microwave oven.
Do NOT immerse the battery in water or sea water, or get it
wet
Do NOT short-circuit the battery
Warning: Use only the power adaptor and charging
cradle supplied. Use of other chargers could be
hazardous and will negate the warranty.
18. CHARGING THE BATTERY
The “Elise” is powered by a type BL4B rechargeable Li-ion
battery. A separate charging cradle and power adaptor are
included in the kit. The battery should need charging about once
a month. The battery should last at least 6 hours at 50mA 300uS
50Hz.To fully the charge the battery it will take about 2 hours.
When the battery is running low, the word “BATT” will show on
the screen. Although the display fades as the batteries run down,
the strength of the output does not change until the warning is
shown.
Caution: If battery leakage occurs and comes in contact
with the skin or eyes, wash thoroughly with lots of water.
Caution: Keep batteries out of reach of children.
To charge the battery:
Insert the battery into the charging
cradle, connect the charging cradle to
the power adaptor and plug it into the
mains socket.
The red light will appear on the
charging cradle –that means the
battery is being charged.
When the battery is charged, the
indicator light on the cradle will change
from red to green.

19. GENERAL SPECIFICATION
MaxIntensity 50V zero to peak. Setting 0-100 in steps of 0.5
OC cutout below 160 Ohm. Constant current 160-470 Ohm 470-
2000 Ohm constant voltage
Channels Single
Waveform Asymmetricalrectangular
Max Pulseenergy * Total output limited to 25uC per pulse
Power BL-4B Li-ion battery 3.7V
Batterylife At least 15 hours at 50mA 300uS50Hz
Adjustable Timer-10, 20, 30 45, 60, 90 min Defaults to 20min
Outputplug Fully shielded: touch proof miniUSB
Weight 90 gms withoutbatteries
Dimensions 100 x 65 x 18mm
SafetyClassification
IP22 No special moisture protection.
EnvironmentalSpecifications
Operating:
Storage:
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The machine will often last for more than 5 years, the warranty
covers first 2 years. Accessories (leads, probes, pads, and
batteries) are not covered by the warranty.
•Lead life depends greatly on use. Always handle the leads
with care.
•Replace the probe every six months to ensure hygiene.
•Optional electrode pads should last 12-20 applications, depending
on skin condition and humidity.
•3.7V Li-ion Rechargeable Battery should last about 6 hours
continuous use.
Humidity:
Temperature range:
Atmospheric Pressure:
20 to 93% RH
10 to 35C
700hPa to 1060hPa
Humidity:
Temperature range:
Atmospheric Pressure:
Up to 93% RH non condensing
-20 to 70C
700hPa to 1060hPa
Expected service life
•Storage life of an unopened pack of electrodes is 2 years.
This may be affected by very high temperatures or very low
humidity.
•Storage life of batteries is 3 years.
•Theunit and probe have no fixed shelf life.
Storage life
Program
Hz Pulse
Width
(µS)
Ramp Up
& Down
(Sec)
Plateau
(Sec)
Off
(Sec)
Default
Program
Duration
(Min)
STRES 50 300 1 5 10 20
URGE 10 200 1 5 10 20
MIXED 20 250 2 5 20 20
TONE 35 250 2 3 6 20
GMDN Definition : Stimulator, electrical, neuromuscular,
incontinence[36784]
Anon-implantable neuromuscular electrical stimulator designed to
treat urinary and/or faecal incontinence that consists of a pair of
electrodes on a plug or pessary that are connected to a battery
powered pulse source. The plug or pessary is inserted into the
rectum or into the vagina and used to stimulate the muscles of the
pelvic floor.
IP22
The first number 2: Protected against access to hazardous parts
with a finger, and the jointed test finger of 12mmø, 80mm length,
shall have adequate clearance from hazardous parts, and
protected against solid foreign objects of 12.5mmø and greater.
The second number 2: Protected against vertically falling water
drops when enclosure is tilted up to 15˚. Vertically falling drops
shall have no harmful effects when the enclosure is tilted at any
angle up to 15”on either side of the vertical.
PROGRAM SETTINGS
Internal powersource. Designed for continuous use.
Type BF Degree of protection against electricalshock.
Water resistance